Individual
JASMINE NICOLE LEWIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
57 HADDONFIELD RD, CHERRY HILL, NJ 08002-4813
(856) 779-7879
Mailing address
1545 49TH ST, PENNSAUKEN, NJ 08110-2929
(856) 425-9363
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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